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Centre for Policy on Ageing | |
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A preventative lifestyle intervention for older adults (lifestyle matters)
— a randomised controlled trial | | Author(s) | Gail Mountain, Gill Windle, Daniel Hind |
| Journal title | Age and Ageing, vol 46, no 4, July 2017 |
| Publisher | Oxford University Press, July 2017 |
| Pages | pp 627-634 |
| Source | https://academic.oup.com/ageing |
| Keywords | Mental health [elderly] ; Well being ; Living in the community ; Social characteristics [elderly] ; Activities of older people ; At risk ; Therapeutics ; Clinical surveys. |
| Annotation | The purpose of this study was to test whether an occupation-based lifestyle intervention could sustain and improve the mental well-being of adults aged 65 years or over compared to usual care, using an individually randomised controlled trial. 288 independently living adults aged 65 years or over with normal cognition were recruited from two UK sites between 2011 and 2015. The intervention used in the study, known as Lifestyle Matters, and recommended by the National Institute for Health and Care Excellence, was designed to improve the mental well-being of community living older people at risk of decline. It involved weekly group sessions over four months and one to one sessions. The primary outcome was mental well-being at six months (mental health (MH) dimension of the SF-36). Secondary outcomes included physical health dimensions of the SF-36, extent of depression (PHQ-9), quality of life (EQ-5D) and loneliness (de Jong Gierveld Loneliness Scale), assessed at six and 24 months. Data on 262 participants were analysed using intention to treat analysis. Mean SF-36 MH scores at six months differed by 2.3 points after adjustments. Analysis showed little evidence of clinical or cost-effectiveness in the recruited population with analysis of the primary outcome revealing that the study participants were mentally well at baseline. The results pose questions regarding how preventive interventions to promote well-being in older adults can be effectively targeted in the absence of proactive mechanisms to identify those who are at risk of decline. (JL). |
| Accession Number | CPA-170728229 A |
| Classmark | D: D:F:5HH: K4: F: G: CA3: LL: 3G |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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